document.write("" +
"<iframe id='ResultFrame' style='display:none'></iframe>" +
"<h2 align='center' id='ResultMessage' class='HeaderText'>" + START_MSG + "</h2>" +
"<form action='' id='OrderForm'>" +
"	<table id='OrderFormTable' align='center' class='MainTable' width='300'>" +
"		<tr>" +
"			<td colspan='2'>" +
"				<div id='ErrorMsg' class='ErrorMsg'></div>" +
"				Поля для обязательного заполнения <font class='Required'>*</font><br>" +
"				<hr noshade size='1'>" +
"			</td>" +
"		</tr>" +
"		<tr>" +
"			<td>Наименование компании <font class='Required'>*</font></td>" +
"			<td><input type='text' id='CompanyName' class='RequiredValidFld'></td>" +
"		</tr>" +
"		<tr>" +
"			<td>Представитель (Ф.И.О.) <font class='Required'>*</font></td>" +
"			<td><input type='text' id='Representative' class='RequiredValidFld'></td>" +
"		</tr>" +
"		<tr>" +
"			<td>Телефоны <font class='Required'>*</font></td>" +
"			<td><input type='text' id='Phones' class='RequiredValidFld'></td>" +
"		</tr>" +
"		<tr>" +
"			<td>Основной вид деятельности</td>" +
"			<td><input type='text' id='Activity' class='RequiredValidFld'></td>" +
"		</tr>" +
"		<tr>" +
"			<td>Номер счет-фактуры (если уже есть)</td>" +
"			<td><input type='text' id='Account' class='RequiredValidFld'> от <input type='text' id='Date' class='RequiredValidFld'> (день/месяц/год)</td>" +
"		</tr>" +
"		<tr>" +
"			<td>Общая стоимость оборудования <font class='Required'>*</font></td>" +
"			<td><input type='text' id='Cost' class='RequiredValidFld'> гривен</td>" +
"		</tr>" +
"		<tr>" +
"			<td colspan='2'>Перечень IT-оборудования <font class='Required'>*</font></td>" +
"		</tr>" +
"		<tr>" +
"			<td colspan='2'><textarea id='Items' cols='80' rows='5' class='RequiredValidFld'></textarea></td>" +
"		</tr>" +
"		<tr>" +
"			<td>Пакет LeaseIT</td>" +
"			<td>" +
"				<select id='LeaseITPakage' class='RequiredValidFld'>" +
"					<option value='Base1'>LeaseIT Базовый1</option>" +
"					<option value='Base2'>LeaseIT Базовый2</option>" +
"					<option value='Ravnomerniy'>LeaseIT Равномерный1</option>" +
"				</select>" +
"			</td>" +
"		</tr>" +
"		<tr>" +
"			<td>Заполнил заявку (Ф.И.О.) <font class='Required'>*</font></td>" +
"			<td><input type='text' id='FIO' class='RequiredValidFld'></td>" +
"		</tr>" +
"		<tr>" +
"			<td>Адрес электронной почты</td>" +
"			<td><input type='text' id='Email' class='RequiredValidFld'></td>" +
"		</tr>" +
"		<tr>" +
"			<td colspan='2'>" +
"				<hr noshade size='1'>" +
"			</td>" +
"		</tr>" +
"		<tr>" +
"			<td colspan='2' align='right'>" +
"				<input type='button' onClick='SubmitForm();' value='Отправить'/>" +
"				&nbsp;" +
"				<input type='button' onClick='ClearForm();' value='Очистить'/>" +
"			</td>" +
"		</tr>" +
"	</table>" +
"</form>" +
"");